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Shielding Dental Implants: Glimpse or Glamour?
Speaker: Dr. Salma Al Jahdhami
Incomplete removal of a tooth has always been a dilemma for discussion over the centuries. In the 1920s, disservice of a patient was considered if a fragment of a tooth was not removed as it would cause pain, infection and even cyst formation. This was the historic consensus by then. Up to 11-37% the retained root fragments were accidentally discovered of routine radiographs and were reported. Studies have shown majorities of these root fragments will cause no harm to patients and will heal in situ under certain conditions. Healing will be by formation of a cementum layer on dentine, which allows bone deposition around the root fragment, hence being enclosed within bone. Coronectomy was a later developed, a technique to intentionally keep the root fragments for the benefit of the patient in preserving alveolar bone for prosthetics or avoidance of injury to the inferior alveolar nerve in impacted wisdom teeth where risk of damage is high.
Learn This concept, i.e Submerged-root concept and decoronation with a triggering factor for further studies and evolution in treatments. Implication of the socket-shield technique in Implant dentistry.
Be able to understand the socket-shield technique with its modification carries the same concept and is among the revolutions in Implant dentistry.
Release date: 2020-09-20 | Expiration date: 2023-09-20
Tribune Group GmbH is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Tribune Group designates this activity for 1 continuing education credits.
This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between Tribune Group GmbH and Dental Tribune International GmbH.
38 Comments
In This technic, do you have to rooth section complety since cervical to apical or only need the cervical side?
Are you still doing GBRs after utilizing this PET technique?
Thank You!
mam,can u suggest any journals ,books regarding shocket shield technique?
Is there a difference in success rate whether you use piezo vs cutting bur?
Thank you for your presentation Dr.Salma
socket preservation (with or without shield) is a solution in the age 14-18 yrs of age
Excellent doc.nice presentation .
thank you very much for the helpful presentation
How do we assess the buccal bone loss clinically during case selection for this technique? Or should we always confirm with CBCT?
Thank you for the lecture.
Congratulations Dr. Salma Al Jahdhami, your presentation was brilliant, thank you very much.
Regards from México.
Excellent presentation
Thank you
Can you tell us few situations where the socket shield technique would not be recommended?
Thanks so much Salma!
Thanks for the presentation…with your clinical experience, what motivated you to start PETing?
Congtatulations, your presentation was brilliant Dr. Salma Al Jahdhami, thank you very much.
Regards from México.
Hello dear Dr salwa
Do u use special kit for socket shield?
RASHA
Is there a dufference between taking a vital socket shiekd of a ancient vital tooth or a root filled tooth?
Any articles References that you recommend to read for socket shied. Thanks
What forms between the root fragment and implant surface?
Any age restrictions for this technique
In case of coronectomy, how do we mitigate the risk of bacteria contaminating the root canals? Ideally a RCT may be needed but I understand it is not possible in most cases. Is local antibiotic application an option?
Thank you
EXCELLENT PRESENTATION DOC..
If delayed placement, how long?
Is the implant placed deeper than in conventional immediate placement?
Is there any 5 years follow up study you could recommend?
How thick should the remaining
shell be?
Do you use a membrane (GTR) to shield the gap between implant and the residual tooth?
and leaving an infected tooth remnant will lead to cementum and healthy bone formation?
Bis deep do you cut the tooth under the margin of the vestibular plate? How thick must be the residual tooth layers ?
how does this gap between ther implant and remaining root heal? Where does
the blood supply come from?
Good afternoon doc
Buen dia
Hi dear friends and colleagues
Hi everyone
Hi
Thank you for attending this webinar! Please write any questions you have for Dr. Jahdhami in this chat box and she will address them at the end of the presentation.